Ozempic Cost in 2026: What You'll Actually Pay

Ozempic Pricing by Dose

Unlike some medications where price varies by strength, Ozempic costs the same regardless of dose. You're paying for the pen device, not the amount of medication:

Dose	Pens/Box	List Price	Typical Use
0.25mg	1 pen (4 doses)	$969	Weeks 1-4 (starting)
0.5mg	1 pen (4 doses)	$969	Weeks 5-8
1mg	1 pen (4 doses)	$969	Maintenance dose
2mg	1 pen (4 doses)	$969	Maximum dose

What You'll Actually Pay

With Commercial Insurance + Savings Card

If your insurance covers Ozempic (it's approved for type 2 diabetes), you can use the NovoCare savings card to reduce your copay to $25/month. The card covers up to $100 per fill.

Scenario	Monthly Cost	Annual Cost
Insurance + savings card	$25	$300
Insurance only (Tier 3-4)	$50-150	$600-1,800
No coverage (GoodRx)	$850-950	$10,200-11,400

💡 Key Point: Ozempic is FDA-approved for type 2 diabetes, which typically has better insurance coverage than weight loss medications like Wegovy. If you have diabetes, Ozempic may be your most affordable branded option.

Without Insurance

If you're paying cash, your options include:

GoodRx: ~$850-950/month depending on pharmacy
Mark Cuban Cost Plus: Check availability—not always in stock
International pharmacies: $155-300/month (requires caution)
Compounded semaglutide: $149-299/month (not FDA-approved)

Ozempic vs. Other Options

Medication	Active Ingredient	Self-Pay Price	Best For
Ozempic	Semaglutide	$969/mo	Diabetes (insurance covers)
Wegovy	Semaglutide	$349/mo*	Weight loss (NovoCare)
Rybelsus	Semaglutide (oral)	$936/mo	Prefer pills over injections
Compounded	Semaglutide	$149-299/mo	Budget-conscious (not FDA-approved)

*Wegovy NovoCare self-pay program price

⚠️ Ozempic for Weight Loss: While some doctors prescribe Ozempic "off-label" for weight loss, insurance typically won't cover it for this use. If weight loss is your primary goal, Wegovy (same drug, FDA-approved for weight loss) may actually be cheaper through self-pay programs.

How to Get the Best Price

Step 1: Check if your insurance covers Ozempic for diabetes. Call the number on your insurance card or check your formulary online.

Step 2: If covered, activate the NovoCare savings card at novocare.com. Present both cards at the pharmacy.

Step 3: If not covered, ask your doctor about prior authorization or appeal options.

Step 4: If paying cash, compare compounded semaglutide options for significant savings.

Compare All Semaglutide Options

See Ozempic alternatives including Wegovy and compounded semaglutide.

View Price Comparison →